• Annals of family medicine · Apr 2022

    Patient-centered home cancer screening attitudes during SARS-CoV-2 pandemic.

    • Christelle El Khoury, Crespo AlbiacLauraL, Marie Claire O'Dwyer, Elizabeth Haro, Martha Alves, Masahito Jimbo, Diane Harper, Sheinfeld GorinSherriS, Kaitlin Meixner, Juana Nicoll Capizzano, and Cullen Salada.
    • Ann Fam Med. 2022 Apr 1; 20 (20 Suppl 1).

    AbstractCOVID-19 has caused disruptions in health care, in particular cancer screenings. The primary aim of our work was to evaluate the degree to which populations were accepting of home-based screenings for colorectal cancer (CRC) and cervical cancer (primary HPV testing). Three groups of adults having distinct health burdens which may affect acceptance of home-based cancer screening were identified through outpatient electronic medical records as follows as either having survived a COVID hospitalization, having been positive for non-COVID respiratory illness or having type 2 diabetes. 132 respondents (58% female) completed an online survey with hypothetical cases about their acceptance of home-based CRC or cervical cancer screening. Among females, urine and vaginal screening for primary HPV testing was acceptable to 64% and 59%, respectively. Among both males and females, CRC home screening with fecal immunochemical test (FIT) or Cologuard was acceptable to 60% of the respondents. When adjusting for education, women with a positive attitude toward home-based urine /vaginal screening were 49 times and 23 times more likely to have a positive attitude toward CRC screening (aOR=48.7 (95% CI: 7.1, 337) and aOR=23.2 (95% CI: 3.8, 142), respectively). This report indicates that home-based cancer screens for CRC and primary HPV testing are acceptable to men and women and may allow for greater compliance with screening in the future.2021 Annals of Family Medicine, Inc.

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